ABSTRACT
The information gathered in hospitals for clinical services is massive and management of this dispersed information is very complicated, however, necessary for medical centers. Considering the computer capabilities, clinical information systems are very useful and efficient in achieving the management goals in medical centers. This study was conducted for evaluating different applications of clinical information systems and staff awareness of Medical Records Department. This study was conducted in two-steps: In the first step, the available resources during 2000-2011 were studied. In the second step, awareness of clinical information systems among Medical Record Department's staff of Tehran University of Medical Sciences hospitals has been evaluated. The validity of the questions raised in questionnaire was confirmed by the expert panel and its reliability was determined to be 80% by test-retest coefficient. The collected data was analyzed using MS Excel 2007 software. The clinical information system consists of different parts and a variety of applications including: clinical documentation, making decision, management of medicine, radiology, laboratory, etc. There are barriers such as financial, behavioral and technical issues to employ these systems. The results obtained from the second part showed that the average of staff awareness of clinical information systems was 49%. Considering the numerous benefits of clinical information systems, using it for supplying information on clinical centers is an inevitable necessity. Selecting a proper system, training users, and paying attention to the factors affecting their implementation in hospitals play a key role in its clinical effectiveness and widespread use of clinical information systems
ABSTRACT
Analysis of efficiency in hospitals, as the most expensive operating unit of the health system, is very important. This costly unit has several departments that one of them is medical records. This study is trying to analyze the efficiency of medical records department for the enhancement of using medical records facilities. In this study, technical, scale and managerial efficiency of medical records department has been studied by data envelopment analysis method, and assuming the scale efficiency variable and the input axis. Information used in this study was the input variables [number of technician personnel and lower and Master of Science personnel and higher], output variables [number of emergency and outpatient and inpatient medical records and the number of filing unit visitors to respond] during 2007-2009. The average technical efficiency of medical records departments is 84 percent, that indicates there is at least 16 percent capacity for an increase in performance. Average of management and scale Performance in units during the 3 years of study are 95 and 89 percent respectively. Most input surplus is relevant to technician and lower personnel. The average performance of these units in general hospitals is 80 percent and in specialized activities is 92 percent. Relationship between studied indicators in this study with performance medical records departments showed that using such as employee personnel with undergraduate degrees and higher and educated in medical records filed, the use of managers with enough experience in this department and more use of computer systems for unit activities can fill 16 percent capacity of performance improvement in these units